Toe deformities are common problems, which often become noticeable when we move into our winter shoes or buy new shoes that have not had time to mould a little to the shape of our feet.  We use many descriptions for toes that are misshapen which describe the position of the deformity.  Often the toe deformity is associated with other foot problems such as hallux valgus (bunion) and as such it is important to properly understand why a toe has deformed before attempting to correct it.

The usual method of correcting a hammer toe (an excision arthroplasty) will involve both bone and soft tissue surgery to not only mobilise an arthritic joint but to help regain stability around the fore foot.  It is unusual for a pin to be put into the toe to stiffen the joints as this may lead to further problems after the surgery.

After surgery the foot is supported by heavy dressings of gauze, wool and crepe, which will be left in place until your next outpatient appointment. DO NOT get the dressing wet or remove it as this will increase chances of post-operative complication.

To heal well your foot will need rest and elevation, particularly in the first 48 hours.

• Keep the foot elevated for 48 hours.  You can potter to your foot’s tolerance.
• Elevate your foot above your hip level, one or two pillows is usually the correct height.
• Use your painkillers as necessary.
• Always use the post-operative shoe when mobile.

When your foot settles be as active as the foot will let you, keep the weight away from the front of the foot until you feel comfortable, this will usually take at least a couple of days.

- Getting better after surgery

- Complications

- Post Operative Advice

- F A Q

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